Keanna Nelson, CCC-SLP in Fayetteville, GA - Medicare Qualified Speech Language Pathologist Provider

Keanna Nelson, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fayetteville, Georgia. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Fox Rehabilitation Ga, Llc and her current practice location is 175 Bradford Sq Ste A, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 438-7168.

Keanna Nelson is licensed to practice in Georgia (license number SLP006202) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1386635191.

Contact Information

	Keanna Nelson, CCC-SLP
	175 Bradford Sq Ste A, Fayetteville, GA 30215
	(678) 438-7168
	(470) 377-8097

Map and Direction

Healthcare Provider's Profile

Full Name	Keanna Nelson
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	21 Years
Location	175 Bradford Sq Ste A, Fayetteville, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keanna Nelson graduated from medical school in 2004

NPI Data:

NPI Number: 1386635191
Provider Enumeration Date: 11/01/2005
Last Update Date: 05/16/2025

Medicare PECOS Information:

PECOS PAC ID: 7113185034
Enrollment ID: I20120223000701

Medical Identifiers

Medical identifiers for Keanna Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386635191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP006202 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Rehabilitation Ga, Llc	6800162298	114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keanna Nelson allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Ga, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keanna Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keanna Nelson, CCC-SLP 210 Mcintosh Place Dr, Fayetteville, GA 30214-7384 Ph: (678) 485-1470	Keanna Nelson, CCC-SLP 175 Bradford Sq Ste A, Fayetteville, GA 30215 Ph: (678) 438-7168

Reviews and Comments

Speech-Language Pathologist in Fayetteville, GA

Mrs. Linda H Radcliffe, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St, Suite 703, Fayetteville, GA 30214 Phone: 770-776-6013 Fax: 877-469-5558
Christina Merman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 290 Brandywine Blvd, Fayetteville, GA 30214 Phone: 770-460-0165 Fax: 770-460-0189
Denise Lynn Fye, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 269 Grooms Rd, Fayetteville, GA 30215 Phone: 404-725-3182
Agape Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St, Suite 703, Fayetteville, GA 30214 Phone: 770-776-6013 Fax: 877-469-5558
Elisabeth Pleasant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 175 Carnegie Pl Ste 137, Fayetteville, GA 30214 Phone: 770-719-8840
Rita Horton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Ln, Fayetteville, GA 30215 Phone: 770-460-0165
Janel Redd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Ln, Fayetteville, GA 30215 Phone: 770-460-0165

Keanna Nelson, CCC-SLP - Medicare Speech-Language Pathologist in Fayetteville, GA